Individual
JULIE VON MULLDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4027 MILANO PL, MOORPARK, CA 93021-3764
(310) 422-1319
Mailing address
PO BOX 391, MOORPARK, CA 93020-0391
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1282
CA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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